XU Longbiao,ZHAO Ming,FANG Naicheng, et al. Clinical effect of in situ bone chip replantation in the prevention of intracranial infection after external ventricular drainage[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2017, 47(12): 914-915,918.
Abstract:Objective: To investigate the clinical effect of in situ bone chip replantation in the prevention of intracranial infection after external ventricular drainage. Methods: A total of 156 cases in our department for external ventricular drainage in patients was randomly divided into 2 groups, replantation group (study group, 81 cases) and conventional replantation group (control group, 75 cases). In the study group of lateral ventricle puncture after the success of collected bone chips evenly in the drainage tube and the bone hole clearance in control group during the operation after successful puncture with gelatin sponge placed in the drainage tube and the bone hole clearance, the incidence of 2 groups of patients with cerebrospinal fluid leakage, intracranial infection and other complications were compared. Results: The incidence ratio of the research group of intracranial infection (5 cases) and control group (13 cases) was statistically significant (P<0.05); the incidence rate ratio difference cerebrospinal fluid leakage in study group (2 cases) and control group (8 cases) was statistically significant (P<0.05); the placed time of the study group was more than 10 d (42%) and control group (24%) the number of cases, the difference was statistically significant (P<0.05). Conclusion: In situ bone chip replantation is effective in preventing intracranial infection after external ventricular drainage.